Fagerlin Angela, Zikmund-Fisher Brian J, Ubel Peter A
VA Health Services Research and Development Center for Practice Management and Outcomes Research, VA Ann Arbor Healthcare System, Ann Arbor, MI, USA.
Patient Educ Couns. 2005 Jun;57(3):294-9. doi: 10.1016/j.pec.2004.08.007.
Counseling women about breast cancer risks has been found to decrease screening compliance. We investigated whether women's reactions to risk information are an artifact of requiring women to estimate the risk of breast cancer prior to receiving risk information. Three hundred and fifty-six women were randomized to either make or not make a risk estimate prior to receiving risk information. Outcome measures were participants' estimates of the average woman's breast cancer risk and their emotional response to the risk information. Women overestimated the lifetime risk of breast cancer (M = 46%). Women who made risk estimates felt more relieved about the risk and perceived the risk as being lower than women who did not make estimates (p's < 0.001). Asking people to estimate risks influenced their subsequent perceptions of the risk of breast cancer.
已发现向女性提供乳腺癌风险咨询会降低她们的筛查依从性。我们调查了女性对风险信息的反应是否是要求她们在接收风险信息之前估计乳腺癌风险所导致的人为现象。356名女性被随机分为两组,一组在接收风险信息之前进行风险估计,另一组则不进行风险估计。结果指标包括参与者对普通女性患乳腺癌风险的估计以及他们对风险信息的情绪反应。女性高估了乳腺癌的终生风险(平均值 = 46%)。进行风险估计的女性对风险感到更放心,并且认为风险低于未进行估计的女性(p值 < 0.001)。要求人们估计风险会影响他们随后对乳腺癌风险的认知。